SOMERSWORTH — Although a total of 105 people have been sickened across nine states in relation to an outbreak of fungal meningitis, New Hampshire has yet to report any incidents related to the outbreak.

PainCare LLC, a Somersworth clinic located on Route 108, received medications from New England Compounding Pharmacy in Framingham. The company recently issued recalls and shut down operations since the outbreak was discovered about two weeks ago in Tennessee.

In addition to the individuals sickened by the pharmacy’s tainted medications, eight have died. To date, all those affected received steroid injections, mostly for back pain.

The Somersworth clinic reportedly treated patients with the medication before pulling it from shelves and informing patients upon learning of potential health risks.

“We are not aware of any cases in New Hampshire related to the outbreak at this time,” New Hampshire’s Public Health Director Jose Montero stated in a press release last Thursday. “We are also conducting surveillance to identify people who might be affected by this situation.”

The recalled medication was also distributed to a Merrimack-area PainCare clinic. Montero stated roughly 186 patients are estimated to have received the medication in N.H.

PainCare’s CEO Michael O’Connell emphasized that the company’s Somersworth and Merrimack locations are the only two clinics that received the medications from New England Compounding Pharmacy. He stressed patients at any other PainCare location in New Hampshire have nothing to worry about.

“We are doing absolutely everything at the moment to comply with the Centers for Disease Control’s tight guidelines,” said O’Connell. “As of yet, all our diligence has been precautionary only.”

Meningitis is an inflammation of the lining of the brain and spinal cord. Symptoms include severe headaches, nausea, dizziness, and fever. Some patients sickened in the recent outbreak also experienced slurred speech and difficulty walking and urinating.

The states with reported cases are: Tennessee, Florida, North Carolina, Indiana, Michigan, Virginia, Maryland, Minnesota and Ohio. Tennessee leads all states with 35 reported cases and five deaths. The new total of 105 cases is up from 64 on Saturday. Most of the new cases were reported in Michigan, where the total increased from eight to 21. Virginia’s total increased from 11 to 23.